DR. JAMES A DERBY (MD) – Hospitalist Physician, NPI 1760463525

DR. JAMES A DERBY (MD) is a healthcare provider. based in Niceville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME80573 (FL). The NPI Number for DR. JAMES A DERBY (MD) is 1760463525

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES A DERBY (MD)
NPI
1760463525
Phone
(850) 678-4181
Address
2190 HIGHWAY 85 N
Enumeration Date
9 November 2005
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8507299468
Graduation Year
1982 (44 years ago)
PAC ID
0143127217
Group Practice PAC ID
9234596743
Professional Enrollment ID
I20031217000094
Address ID
FL325781045NI2190XNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. JAMES A DERBY (MD)

  • Old Coastal Highway, Niceville, Okaloosa County, Florida, 32580, United States

    NICEVILLE, FL 325781045

    Phone: (850) 678-4181

    Fax: (850) 729-9418

    Type: Mailing

  • 457 RUCKEL DR

    NICEVILLE, FL 325781782

    Phone: (850) 496-3096

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031217000094IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes671306$0
99291Critical care, first 30-74 minutes244109$0
99239Hospital discharge day management, more than 30 minutes228215$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes182169$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes172164$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234596743View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Internal Medicine, HospitalistFL
Hospitalist, Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL
Internal Medicine, HospitalistFL
Internal MedicinePA

Reviews

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Frequently asked questions

How do payers reference DR. JAMES A DERBY (MD)?
For DR. JAMES A DERBY (MD), use NPI 1760463525 as the unique 10-digit identifier.
Is DR. JAMES A DERBY (MD) shown as active in public data?
Registry records indicate DR. JAMES A DERBY (MD) maintains an active NPI.
What area of care is associated with DR. JAMES A DERBY (MD)?
DR. JAMES A DERBY (MD)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAMES A DERBY (MD) associated with Niceville?
Public fields place DR. JAMES A DERBY (MD) around Niceville, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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